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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 626393, 4 pages
http://dx.doi.org/10.1155/2013/626393
Case Report

A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature

1Research Development Center, Shariati Hospital, Tehran University of Medical Sciences, P.O. Box 14155-6447, Tehran, Iran
2Division of Gastroenterology and Hepatology, School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA

Received 19 October 2012; Accepted 27 December 2012

Academic Editors: E. C. Nwosu, O. Picone, and K. Takeuchi

Copyright © 2013 Sepideh Khodaverdi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The incidence of colorectal cancer (CRC) during pregnancy is so rare. Herein we present a case of colorectal cancer that was missed by pregnancy all over the pregnancy period. The patient was a 37-year-old woman (gravid 4, para 2) referred with the complaints of vaginal discharge and suspicious rupture of membrane (ROM). The patient was pale and the initial physical examination revealed dilation of two fingers, effacement about 30%. She underwent emergent cesarean section which showed adhesions surrounding the uterus, the bladder, and the abdominal wall. Forty days postoperatively, the patient presented with abdominal pain in the left upper quadrant (LUQ). Imaging confirmed a mass in LUQ. Partial colectomy of transverse colon (20 cm) was performed. Postoperative histopathologic study revealed a 7 * 6 * 5 cm mass in transverse colon compatible to stage IIa of the Duck class (T3, N0, Mx). Adjuvant chemotherapy was applied and the patient showed improvements during 7 months followup after surgery. Colorectal cancer in pregnancy is associated with diagnostic and therapeutic challenges which mostly lead to late diagnosis in advanced stages and poor prognosis. A targeted program to improve the general population knowledge and the establishment of a national consultant and screening program particularly for women with a planned pregnancy in the high risk group might be beneficial.